The Community Health Options Behavioral Health (BH) Medical Director will provide medical expertise to support the Senior Medical Director in development and effective implementation of behavioral health clinical policies and procedures that adhere to all Federal and State requirements and National Committee for Quality Assurance (NCQA) standards. The incumbent will be involved in implementation, supervision, oversight and evaluation of the BH Medical Management program.
The incumbent will have a strong working knowledge of BH utilization management, case management, quality assurance, and clinical standards of care based on nationally recognized evidence-based clinical guidelines. The BH Medical Director will advocate for Members receiving all medically necessary covered services and promotes stewardship for all CO-OP Members through consistent application of medical necessity principles that include consideration of plan design, individual circumstances, nuances of the local delivery system and nationally recognized standards of care.
This part time position provides work from home flexibility with periodic onsite presence to support committee work and team meetings. Occasional local travel to meet with provider partners is required.
Community Health Options has been named one of the Best Places to Work in 2013, 2015, 2017, and 2019 and received the Maine Psychologically Healthy Workplace Award 2016. We recognize that our people are critical to our successful growth as an organization. As a result, our culture is unique, and we rely on each person’s intrinsic motivation and professional perspective to achieve our overall mission.
If you have an active and unrestricted Behavioral Health MD (Psychiatrist) or PhD or PsyD (Psychologist) Maine license, national certification, and an interest in working with in an organization that is committed to the following:
- Treating people with respect, appreciation, and an assumed trust that they will do their best every day
- Supporting personal and team development and opportunities
- Communicating readily
- Cultivating honesty
- Encouraging innovation and ideas
Please visit our website at: https://healthoptions.org/about-us/careers/ for additional details.
Post: 10/28/2019 - 11/28/2019